Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $1,698.24	Facility		$489.78	$489.78	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $537.03 / $602.56	Professional		$489.78	$537.03	$602.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $616.60	Facility		$512.86	$512.86	$616.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $1,862.09	Facility		$831.76	$831.76	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $758.58 / $3,548.13	Professional		$389.05	$758.58	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $9,772.37	Facility		$2,884.03	$2,884.03	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $562.34 / $851.14	Professional		$389.05	$562.34	$851.14